Estatística Scan e Suavização BYM

A estatística scan foi aplicada para cada grupos de anomalias, considerando os municípios de residência e o período de 2011-2020. É exibido no mapa os clusters que possuem o valor p significativo. Quando não significativo, é exibido apenas o primeiro cluster com o valor p mais baixo.
A suavização do risco relativo foi feita através do modelo BYM(Besag–York–Mollié), que inclui um componente ICAR para autocorrelação espacial + um componente de efeitos aleatórios.

Defeitos de tubo neural

Scan

## 
## Areas included ...........:
## Águas_Mornas Angelina Antônio_Carlos Biguaçu Major_Gercino Nova_Trento 
## Santo_Amaro Da Imperatriz São_João Batista São_Pedro De Alcântara
## Maximum distance .........:  0.4565586 
## (areas: Nova_Trento to Santo_Amaro Da Imperatriz)
## Number of cases ..........: 24 
## Expected number of cases .: 10.017 
## Overall relative risk ....: 2.395926 
## Statistic value ..........: 7.21789 
## Monte Carlo rank .........: 530 
## P-value ..................: 0.053
## 
## Call:
## rflexscan(x = coord$x, y = coord$y, name = scan_tubo$name_muni, 
##     observed = scan_tubo$n, expected = scan_tubo$valor_esperado, 
##     nb = nb, clustersize = 10, stattype = "ORIGINAL", scanmethod = "CIRCULAR", 
##     simcount = 9999, rantype = "POISSON")
## 
## Clusters:
##    NumArea  MaxDist  Case  Expected     RR  Stats       P   
## 1        9    0.457    24    10.017  2.396  7.218  0.0530  .
## 2        1    0.000     3     0.472  6.353  3.026  0.9644   
## 3        2    0.064     7     2.556  2.739  2.632  0.9918   
## 4        1    0.000    51    37.144  1.373  2.554  0.9938   
## 5        2    0.121     4     1.044  3.832  2.428  0.9980   
## 6        1    0.000     6     2.158  2.780  2.310  0.9988   
## 7        6    0.397     8     3.447  2.321  2.206  0.9998   
## 8        1    0.000     4     1.172  3.413  2.092  1.0000   
## ---
## Signif. codes:  0 '***' 0.001 '**' 0.01 '*' 0.05 '.' 0.1 ' ' 1 
## 
## Limit length of cluster: 10 
## Number of areas: 295 
## Total cases: 439 
## Coordinates: Cartesian
## Model: POISSON 
## Scanning method: CIRCULAR 
## Statistic type: ORIGINAL

BYM

Tabela

Microcefalia

Scan

## 
## Areas included ...........:
## Catanduvas Erval_Velho Herval_D'oeste Jaborá Joaçaba Lacerdópolis 
## Luzerna Ouro Salto_Veloso Treze_Tílias
## Maximum distance .........:  0.3909241 
## (areas: Ouro to Salto_Veloso)
## Number of cases ..........: 5 
## Expected number of cases .: 0.9769189 
## Overall relative risk ....: 5.118132 
## Statistic value ..........: 4.253782 
## Monte Carlo rank .........: 5393 
## P-value ..................: 0.5393
## 
## Call:
## rflexscan(x = coord$x, y = coord$y, name = scan_microcefalia$name_muni, 
##     observed = scan_microcefalia$n, expected = scan_microcefalia$valor_esperado, 
##     nb = nb, clustersize = 10, stattype = "ORIGINAL", scanmethod = "CIRCULAR", 
##     simcount = 9999, rantype = "POISSON")
## 
## Clusters:
##    NumArea  MaxDist  Case  Expected      RR  Stats       P   
## 1       10    0.391     5     0.977   5.118  4.254  0.5393   
## 2        1    0.000     2     0.125  16.041  3.699  0.7261   
## 3        3    0.210     2     0.197  10.157  2.855  0.9584   
## 4        3    0.199     2     0.201   9.951  2.818  0.9634   
## 5        1    0.000     1     0.023  43.459  2.801  0.9664   
## 6       10    0.386     7     3.122   2.242  1.882  0.9999   
## 7        1    0.000     4     1.376   2.908  1.693  1.0000   
## ---
## Signif. codes:  0 '***' 0.001 '**' 0.01 '*' 0.05 '.' 0.1 ' ' 1 
## 
## Limit length of cluster: 10 
## Number of areas: 295 
## Total cases: 74 
## Coordinates: Cartesian
## Model: POISSON 
## Scanning method: CIRCULAR 
## Statistic type: ORIGINAL

BYM

Tabela

Cardiopatias congênitas

Scan

## 
## Areas included ...........:
## Águas_Mornas Antônio_Carlos Biguaçu Florianópolis 
## Governador_Celso Ramos Palhoça Paulo_Lopes Santo_Amaro Da Imperatriz 
## São_José São_Pedro De Alcântara
## Maximum distance .........:  0.5353028 
## (areas: Florianópolis to Paulo_Lopes)
## Number of cases ..........: 264 
## Expected number of cases .: 145.5059 
## Overall relative risk ....: 1.81436 
## Statistic value ..........: 47.17649 
## Monte Carlo rank .........: 1 
## P-value ..................: 1e-04
## 
## Areas included ...........:
## Concórdia Ipumirim Irani Lindóia_Do Sul
## Maximum distance .........:  0.3174795 
## (areas: Ipumirim to Irani)
## Number of cases ..........: 37 
## Expected number of cases .: 14.07358 
## Overall relative risk ....: 2.62904 
## Statistic value ..........: 13.10122 
## Monte Carlo rank .........: 2 
## P-value ..................: 2e-04
## 
## Call:
## rflexscan(x = coord$x, y = coord$y, name = scan_cardio$name_muni, 
##     observed = scan_cardio$n, expected = scan_cardio$valor_esperado, 
##     nb = nb, clustersize = 10, stattype = "ORIGINAL", scanmethod = "CIRCULAR", 
##     simcount = 9999, rantype = "POISSON")
## 
## Clusters:
##     NumArea  MaxDist  Case  Expected     RR   Stats       P     
## 1        10    0.535   264   145.506  1.814  47.176  0.0001  ***
## 2         4    0.317    37    14.074  2.629  13.101  0.0002  ***
## 3         7    0.293    77    50.482  1.525   6.356  0.1267     
## 4         2    0.146     5     0.596  8.395   6.243  0.1392     
## 5         1    0.000     3     0.316  9.505   4.075  0.7111     
## 6         1    0.000   111    86.473  1.284   3.514  0.8814     
## 7         3    0.219     6     1.613  3.720   3.505  0.8837     
## 8         1    0.000     4     0.831  4.812   3.121  0.9569     
## 9         3    0.242    19    10.471  1.815   2.828  0.9855     
## 10        9    0.527    14     8.421  1.662   1.553  1.0000     
## ---
## Signif. codes:  0 '***' 0.001 '**' 0.01 '*' 0.05 '.' 0.1 ' ' 1 
## 
## Limit length of cluster: 10 
## Number of areas: 295 
## Total cases: 1022 
## Coordinates: Cartesian
## Model: POISSON 
## Scanning method: CIRCULAR 
## Statistic type: ORIGINAL

BYM

Tabela

Fendas orais

Scan

## 
## Areas included ...........:
## Irati Jardinópolis Serra_Alta Sul_Brasil
## Maximum distance .........:  0.1513368 
## (areas: Jardinópolis to Serra_Alta)
## Number of cases ..........: 6 
## Expected number of cases .: 0.9190114 
## Overall relative risk ....: 6.528755 
## Statistic value ..........: 6.193108 
## Monte Carlo rank .........: 1410 
## P-value ..................: 0.141
## 
## Call:
## rflexscan(x = coord$x, y = coord$y, name = scan_fendas$name_muni, 
##     observed = scan_fendas$n, expected = scan_fendas$valor_esperado, 
##     nb = nb, clustersize = 10, stattype = "ORIGINAL", scanmethod = "CIRCULAR", 
##     simcount = 9999, rantype = "POISSON")
## 
## Clusters:
##     NumArea  MaxDist  Case  Expected     RR  Stats       P   
## 1         4    0.151     6     0.919  6.529  6.193  0.1410   
## 2         6    0.323    18     7.864  2.289  4.837  0.4346   
## 3         5    0.276    32    19.128  1.673  3.705  0.8233   
## 4         6    0.323    11     4.744  2.319  3.020  0.9677   
## 5         1    0.000     4     0.862  4.641  3.008  0.9691   
## 6         3    0.145     7     2.423  2.889  2.864  0.9831   
## 7         2    0.064    10     4.488  2.228  2.519  0.9970   
## 8         1    0.000     2     0.304  6.575  2.073  0.9999   
## 9         3    0.126     6     2.334  2.571  2.008  0.9999   
## 10        7    0.640    35    24.644  1.420  1.995  0.9999   
## 11        9    0.605    27    18.262  1.478  1.870  1.0000   
## ---
## Signif. codes:  0 '***' 0.001 '**' 0.01 '*' 0.05 '.' 0.1 ' ' 1 
## 
## Limit length of cluster: 10 
## Number of areas: 295 
## Total cases: 771 
## Coordinates: Cartesian
## Model: POISSON 
## Scanning method: CIRCULAR 
## Statistic type: ORIGINAL

BYM

Tabela

Anomalias de órgãos genitais - Hipospádias

Scan

## 
## Areas included ...........:
## Águas_Mornas Antônio_Carlos Biguaçu Florianópolis 
## Governador_Celso Ramos Palhoça Paulo_Lopes Santo_Amaro Da Imperatriz 
## São_José São_Pedro De Alcântara
## Maximum distance .........:  0.5353028 
## (areas: Florianópolis to Paulo_Lopes)
## Number of cases ..........: 126 
## Expected number of cases .: 70.7597 
## Overall relative risk ....: 1.780675 
## Statistic value ..........: 21.20578 
## Monte Carlo rank .........: 1 
## P-value ..................: 1e-04
## 
## Areas included ...........:
## Alto_Bela Vista Arabutã Concórdia Ipumirim Irani Jaborá Lindóia_Do Sul 
## Peritiba Presidente_Castello Branco
## Maximum distance .........:  0.4822754 
## (areas: Ipumirim to Peritiba)
## Number of cases ..........: 23 
## Expected number of cases .: 7.691878 
## Overall relative risk ....: 2.990167 
## Statistic value ..........: 10.12645 
## Monte Carlo rank .........: 34 
## P-value ..................: 0.0034
## 
## Areas included ...........:
## Chapecó Cordilheira_Alta
## Maximum distance .........:  0.08849563 
## (areas: Chapecó to Cordilheira_Alta)
## Number of cases ..........: 38 
## Expected number of cases .: 17.97365 
## Overall relative risk ....: 2.114206 
## Statistic value ..........: 8.848043 
## Monte Carlo rank .........: 107 
## P-value ..................: 0.0107
## 
## Call:
## rflexscan(x = coord$x, y = coord$y, name = scan_hipospadias$name_muni, 
##     observed = scan_hipospadias$n, expected = scan_hipospadias$valor_esperado, 
##     nb = nb, clustersize = 10, stattype = "ORIGINAL", scanmethod = "CIRCULAR", 
##     simcount = 9999, rantype = "POISSON")
## 
## Clusters:
##     NumArea  MaxDist  Case  Expected      RR   Stats       P     
## 1        10    0.535   126    70.760   1.781  21.206  0.0001  ***
## 2         9    0.482    23     7.692   2.990  10.126  0.0034   **
## 3         2    0.088    38    17.974   2.114   8.848  0.0107    *
## 4         9    0.400    22     9.898   2.223   5.622  0.2333     
## 5         1    0.000     2     0.131  15.280   3.588  0.8510     
## 6         1    0.000     3     0.404   7.422   3.424  0.8924     
## 7         1    0.000     3     0.564   5.319   2.584  0.9941     
## 8         7    0.404    26    16.493   1.576   2.422  0.9975     
## 9         1    0.000     4     1.073   3.727   2.344  0.9983     
## 10        7    0.364    14     7.589   1.845   2.204  0.9994     
## 11        7    0.387     9     4.178   2.154   2.108  0.9996     
## 12        1    0.000    27    17.891   1.509   2.090  0.9997     
## 13        1    0.000     4     1.251   3.199   1.909  1.0000     
## ---
## Signif. codes:  0 '***' 0.001 '**' 0.01 '*' 0.05 '.' 0.1 ' ' 1 
## 
## Limit length of cluster: 10 
## Number of areas: 295 
## Total cases: 497 
## Coordinates: Cartesian
## Model: POISSON 
## Scanning method: CIRCULAR 
## Statistic type: ORIGINAL

BYM

Tabela

Anomalias de órgãos genitais - Sexo indefinido

Scan

## 
## Areas included ...........:
## Ermo Jacinto_Machado Passo_De Torres Praia_Grande Santa_Rosa Do Sul 
## São_João Do Sul Turvo
## Maximum distance .........:  0.4390975 
## (areas: Passo_De Torres to Turvo)
## Number of cases ..........: 5 
## Expected number of cases .: 0.7945374 
## Overall relative risk ....: 6.29297 
## Statistic value ..........: 5.074506 
## Monte Carlo rank .........: 3162 
## P-value ..................: 0.3162
## 
## Call:
## rflexscan(x = coord$x, y = coord$y, name = scan_SI$name_muni, 
##     observed = scan_SI$n, expected = scan_SI$valor_esperado, 
##     nb = nb, clustersize = 10, stattype = "ORIGINAL", scanmethod = "CIRCULAR", 
##     simcount = 9999, rantype = "POISSON")
## 
## Clusters:
##    NumArea  MaxDist  Case  Expected      RR  Stats       P   
## 1        7    0.439     5     0.795   6.293  5.075  0.3162   
## 2        6    0.328    14     5.847   2.394  4.402  0.5077   
## 3        1    0.000     1     0.021  46.888  2.873  0.9591   
## 4        1    0.000     1     0.025  40.534  2.731  0.9760   
## 5        1    0.000     3     0.668   4.488  2.198  0.9993   
## 6        1    0.000     1     0.050  19.804  2.041  0.9998   
## 7        1    0.000     1     0.060  16.586  1.873  1.0000   
## ---
## Signif. codes:  0 '***' 0.001 '**' 0.01 '*' 0.05 '.' 0.1 ' ' 1 
## 
## Limit length of cluster: 10 
## Number of areas: 295 
## Total cases: 109 
## Coordinates: Cartesian
## Model: POISSON 
## Scanning method: CIRCULAR 
## Statistic type: ORIGINAL

BYM

Tabela

Defeitos de membros

Scan

## 
## Areas included ...........:
## Chapecó Cordilheira_Alta Guatambú
## Maximum distance .........:  0.1192868 
## (areas: Cordilheira_Alta to Guatambú)
## Number of cases ..........: 127 
## Expected number of cases .: 77.14058 
## Overall relative risk ....: 1.646345 
## Statistic value ..........: 14.08385 
## Monte Carlo rank .........: 1 
## P-value ..................: 1e-04
## 
## Areas included ...........:
## Caçador
## Maximum distance .........:  0 
## (areas: Caçador to Caçador)
## Number of cases ..........: 53 
## Expected number of cases .: 25.79558 
## Overall relative risk ....: 2.054616 
## Statistic value ..........: 11.1414 
## Monte Carlo rank .........: 11 
## P-value ..................: 0.0011
## 
## Call:
## rflexscan(x = coord$x, y = coord$y, name = scan_membros$name_muni, 
##     observed = scan_membros$n, expected = scan_membros$valor_esperado, 
##     nb = nb, clustersize = 10, stattype = "ORIGINAL", scanmethod = "CIRCULAR", 
##     simcount = 9999, rantype = "POISSON")
## 
## Clusters:
##     NumArea  MaxDist  Case  Expected     RR   Stats       P     
## 1         3    0.119   127    77.141  1.646  14.084  0.0001  ***
## 2         1    0.000    53    25.796  2.055  11.141  0.0011   **
## 3         7    0.404   100    68.960  1.450   6.365  0.1264     
## 4         6    0.290    32    17.714  1.806   4.688  0.5173     
## 5         1    0.000     6     1.253  4.789   4.657  0.5294     
## 6         1    0.000    15     6.266  2.394   4.378  0.6240     
## 7         9    0.494    96    71.321  1.346   4.001  0.7536     
## 8        10    0.535   340   295.852  1.149   3.693  0.8510     
## 9         6    0.282    23    12.811  1.795   3.296  0.9404     
## 10        7    0.272    38    24.734  1.536   3.094  0.9685     
## 11        2    0.093    11     4.765  2.309   2.977  0.9786     
## 12        1    0.000     3     0.664  4.520   2.191  0.9999     
## 13        1    0.000     3     0.745  4.027   1.925  1.0000     
## ---
## Signif. codes:  0 '***' 0.001 '**' 0.01 '*' 0.05 '.' 0.1 ' ' 1 
## 
## Limit length of cluster: 10 
## Number of areas: 295 
## Total cases: 2078 
## Coordinates: Cartesian
## Model: POISSON 
## Scanning method: CIRCULAR 
## Statistic type: ORIGINAL

BYM

Tabela

Defeitos da parede abdominal

Scan

## 
## Areas included ...........:
## Dona_Emma Doutor_Pedrinho José_Boiteux Vitor_Meireles Witmarsum
## Maximum distance .........:  0.3915501 
## (areas: Doutor_Pedrinho to Witmarsum)
## Number of cases ..........: 6 
## Expected number of cases .: 1.107336 
## Overall relative risk ....: 5.418411 
## Statistic value ..........: 5.282066 
## Monte Carlo rank .........: 2821 
## P-value ..................: 0.2821
## 
## Call:
## rflexscan(x = coord$x, y = coord$y, name = scan_abdominal$name_muni, 
##     observed = scan_abdominal$n, expected = scan_abdominal$valor_esperado, 
##     nb = nb, clustersize = 10, stattype = "ORIGINAL", scanmethod = "CIRCULAR", 
##     simcount = 9999, rantype = "POISSON")
## 
## Clusters:
##    NumArea  MaxDist  Case  Expected      RR  Stats       P   
## 1        5    0.392     6     1.107   5.418  5.282  0.2821   
## 2        1    0.000     2     0.141  14.141  3.445  0.8808   
## 3        5    0.305     8     2.729   2.932  3.375  0.8959   
## 4        7    0.382    13     5.847   2.224  3.313  0.9075   
## 5        1    0.000     3     0.471   6.366  3.034  0.9583   
## 6       10    0.401    12     5.527   2.171  2.894  0.9739   
## 7        3    0.134     3     0.578   5.192  2.528  0.9960   
## 8        1    0.000     3     0.791   3.791  1.796  1.0000   
## ---
## Signif. codes:  0 '***' 0.001 '**' 0.01 '*' 0.05 '.' 0.1 ' ' 1 
## 
## Limit length of cluster: 10 
## Number of areas: 295 
## Total cases: 336 
## Coordinates: Cartesian
## Model: POISSON 
## Scanning method: CIRCULAR 
## Statistic type: ORIGINAL

BYM

Tabela

Síndrome de Down

Scan

## 
## Areas included ...........:
## Catanduvas Concórdia Irani Jaborá Joaçaba Lacerdópolis Ouro 
## Presidente_Castello Branco
## Maximum distance .........:  0.3740191 
## (areas: Catanduvas to Concórdia)
## Number of cases ..........: 27 
## Expected number of cases .: 10.6338 
## Overall relative risk ....: 2.539074 
## Statistic value ..........: 9.045609 
## Monte Carlo rank .........: 99 
## P-value ..................: 0.0099
## 
## Call:
## rflexscan(x = coord$x, y = coord$y, name = scan_down$name_muni, 
##     observed = scan_down$n, expected = scan_down$valor_esperado, 
##     nb = nb, clustersize = 10, stattype = "ORIGINAL", scanmethod = "CIRCULAR", 
##     simcount = 9999, rantype = "POISSON")
## 
## Clusters:
##     NumArea  MaxDist  Case  Expected      RR  Stats       P    
## 1         8    0.374    27    10.634   2.539  9.046  0.0099  **
## 2        10    0.403    39    23.329   1.672  4.607  0.4972    
## 3         2    0.004     5     0.948   5.273  4.276  0.6134    
## 4         3    0.196    55    37.021   1.486  4.115  0.6727    
## 5         1    0.000    15     6.524   2.299  4.079  0.6872    
## 6         1    0.000     3     0.329   9.131  3.970  0.7274    
## 7         2    0.077     4     0.647   6.185  3.945  0.7364    
## 8         7    0.498    27    15.516   1.740  3.598  0.8456    
## 9         1    0.000     2     0.166  12.048  3.147  0.9459    
## 10        1    0.000     2     0.185  10.809  2.949  0.9734    
## 11        1    0.000    27    18.376   1.469  1.836  1.0000    
## ---
## Signif. codes:  0 '***' 0.001 '**' 0.01 '*' 0.05 '.' 0.1 ' ' 1 
## 
## Limit length of cluster: 10 
## Number of areas: 295 
## Total cases: 545 
## Coordinates: Cartesian
## Model: POISSON 
## Scanning method: CIRCULAR 
## Statistic type: ORIGINAL

BYM

Tabela